The Rational Clinical Examination
David L. Simel, Drummond Rennie
Splenomegaly
Alan N. Barkun, Steven A. Grover, Andrew Muir
Clinical Scenario
Topics Discussed:
splenomegaly
Excerpt:
"A 34-year-old man has complained of fatigue and abdominal pain.
He presents to the emergency department with vague abdominal pain
and fever. The medical history is also that of intermittent sweats
and some weight loss. Your examination reveals diffuse adenopathy.
Traube space is dull to percussion. You decide to try to palpate
the spleen edge but, despite spending a few minutes examining the
patient while he is supine and then while he is on his side, you
decide that you cannot feel the spleen. According to your findings,
how confident should you be that the spleen is not enlarged? ..."
Log in to read the full chapter:
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $29.95
48 hours for $49.95